Active NPI
Nancy Graham, LMHC
- Mental Health Counselor
- Niceville, FL
National Provider Identifier
1285218297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19156
- Practice address
- 227 Karen CT
Niceville, FL 32578-2613 - Phone
- (850) 696-6381
- NPI assigned
- May 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19156 | FL | Primary |
Addresses
Primary practice location
227 Karen CT
Niceville, FL 32578-2613
Mailing address
227 Karen CT
Niceville, FL 32578-2613
Phone (185) 059-8313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 18, 2024 through Sep 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19156 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1285218297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 KAREN CT",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782613",
"telephone_number": "185-059-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 KAREN CT",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782613",
"telephone_number": "850-696-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "NANCY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "19156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
- Joslynn Gonzales
- Carson McRae Gonzalez, MSW, LCSW
- Eduardo Luis Gonzalez, M.D.
- Tyler Belser Goodman
- Carley Graham, PHARMD
- Rachel Gramke-Booth, BCBA
- Corine Dodge Grant
- Naomi Y Grasso, APRN
- Gray Matter Neuropsyhcological Consultants, LLC Dba the Mind Studio (The Mind Studio)
- Gregory Winfield Turner Sr MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.